Maysville Diagnostic Center Llc

LBN: Maysville Diagnostic Center Llc
Maysville Diagnostic Center Llc is an health care organization with primary practice located at 910 Kenton Station Dr Suite E, Maysville KY 41056-9658. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Maysville Diagnostic Center Llc can be contacted via phone (606) 759-0073, or through Ishmael, Donna via phone (606) 759-0073.

Contact Information

Primary practice address
910 Kenton Station Dr Suite E Maysville KY 41056-9658
Fax: (606) 759-0075
Website:
Authorized official contact:
Name: Ishmael, Donna

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 730123 Kentucky
Ambulatory Health Care Facilities / Radiology 261QR0200X 730123 Kentucky
Ambulatory Health Care Facilities / Sleep Disorder Diagnostic 261QS1200X 730122 Kentucky

Profile Details

NPI number 1952423691
LBN Legal business name Maysville Diagnostic Center Llc
DBA Doing business as
Authorized official Ishmael, Donna
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Apr 28th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952423691 NPPES
Kentucky MEDICAID 7100029410
Kentucky Other P00458422
Kentucky Other 000000555492

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